Autologous hematopoietic stem cell transplantation for treatment of Crohns disease care.docVIP

 PAGE \* MERGEFORMAT 3 Autologous hematopoietic stem cell transplantation for treatment of Crohn’s disease care [Abstract] Objective To investigate the autologous hematopoietic stem cell transplantation for treatment of Crohn’s disease the main points of care and precautions. Methods 4 cases of autologous hematopoietic stem cell transplantation for treatment of Crohn’s disease cases in the clinical analysis and summary. The results of patient care and attention to psychological care, basic care, illness observation, better nutrition, correct hypoproteinemia. 4 patients six months after a return visit, no recurrence of symptoms. Conclusion nursing process in strict aseptic operations, strengthen basic care, infection control is a fundamental guarantee for a smooth and successful treatment. [Keywords:] autologous hematopoietic stem cell transplantation; Crohn’s disease A cause of Crohn’s disease is unknown from the mouth to the anus can affect any part of the wall of full-thickness chronic inflammation of the digestive tract, most of them situated on the main terminal ileum of the small intestine (80%), followed by back, colon (20% ), a few only occurs in the digestive tract (mouth, esophagus, stomach and proximal small intestine). Wear wall inflammation often leads to fibrosis, there may be obstruction of the performance of sinus formation can be induced to wear to the serosal micro perforation and fistula. Life-long tendency to have recurrent disease, some patients with persistent unhealed, seriously affecting quality of life, poor prognosis. Treatment focuses on control of active inflammation and regulation of immune disorders, but long-term use of drugs to bring patients Youji difficult to overcome the adverse reactions reported in the literature, 30% ~ 60% of Crohn’s disease of the patients with refractory or steroid-dependent type, which Some patients even remedial measures, such as the immunosuppressive agent azathioprine ,6-MP, cyclosporine, TNF mo